The issue of credentialing physicians and other practitioners who perform few if any procedures at the hospital has provided significant challenges for medical staffs. Accordingly, at its 2009 House of Delegates, recommendations on the House mandated that “CMA study the privileging process and recommendations on establishing guidelines for privileging “low and no volume physicians.” (CMA HODResolution 622-09.) In response, CMA studied the issue and the following paper was approved byCMA’s House of Delegates at its 2010 meeting.